Ms Amysue Hartman, MA in Oshkosh, WI - Medicare Counselor Provider

Ms Amysue Hartman, MA is a medicare enrolled "Counselor - Mental Health" provider in Oshkosh, Wisconsin. Her current practice location is 2937 Omro Rd, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 279-2108.

Ms Amysue Hartman is licensed to practice in Wisconsin (license number 7184-125) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568747475.

Contact Information

	Ms Amysue Hartman, MA
	2937 Omro Rd, Oshkosh, WI 54904-8839
	(920) 279-2108
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Amysue Hartman
Gender	Female
Speciality	Counselor - Mental Health
Location	2937 Omro Rd, Oshkosh, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568747475
Provider Enumeration Date: 10/12/2011
Last Update Date: 10/31/2022

Medicare PECOS Information:

PECOS PAC ID: 0648614651
Enrollment ID: I20240219000421

Medical Identifiers

Medical identifiers for Ms Amysue Hartman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568747475	NPI	-	NPPES
42139300WI	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	7184-125 (Wisconsin)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	7184-125 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Amysue Hartman allows following entities to bill medicare on her behalf.

Entity Name	212 Psychotherapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053941666 PECOS PAC ID: 9234547829 Enrollment ID: O20210420002439

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Amysue Hartman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Amysue Hartman, MA 2937 Omro Rd, Oshkosh, WI 54904-8839 Ph: (920) 279-2108	Ms Amysue Hartman, MA 2937 Omro Rd, Oshkosh, WI 54904-8839 Ph: (920) 279-2108

Reviews and Comments

Counselor in Oshkosh, WI

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Ms. Angeline Fischer Gonzales, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 S Washburn St, Oshkosh, WI 54904 Phone: 920-232-2332
Thomas Mittelsteadt, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 S Oakwood Rd Ste 102, Oshkosh, WI 54904 Phone: 920-223-8570 Fax: 920-223-8591

Ms Amysue Hartman, MA - Medicare Counselor in Oshkosh, WI